Kin C Wong MD a Professional Corp

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A33946 Issued in CA

Legal business name

KIN C WONG MD A PROFESSIONAL CORP

Practice address

435 Arden Ave
Ste 310
Glendale, CA 91203-1130

Phone

(818) 247-6676

Fax

(818) 247-6076

NPI assigned

Nov 10, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kin C Wong, MD

Title

Physician

Phone

(818) 247-6676

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1013998616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034014",
            "telephone_number": "818-247-6676",
            "fax_number": "818-247-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "STE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-247-6676",
            "fax_number": "818-247-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIN C WONG MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-247-6676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A33946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A339960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Saiwon Kim, PHARMD
• Soo Gyung Kim, L.AC., O.M.D.
• Stephanie Kim
• Taell Ted Kim, M.D.
• Young Hwa Kim, DDS
• Kindercare Hospice, Inc.
• Kinematix Rehab, Inc
• King Care Home Health, Inc.
• Chrystal King, M.S., CCC-SLP
• Halley King

• Pulmonary Disease Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.